Octagon House, 18 Nash Green, Hemel Hempstead, Herts. HP3 8AA        Phone :   01442 242 400
Office
 
Name:
Email :
Business postcode :
Phone No :
Business Address :
Main trade :
When do you want cover to start? (dd/mm/yyyy) :   
Was the property built solely for use as an office? :
Yes: No
Does the business want to insure the building? :
Yes: No
Please indicate the amount the business would like to insure the premises for :

Buildings £ :
Tenant's improvements £ :
Stock £ :
Goods In Transit £ :
Computer equipment £ :
Documents £ :
Contents excluding the above £ :
In the last 3 years have you (in connection with your business) suffered any incident (whether insured or not), where loss or damage has occurred or any allegations of liability to a visitor or any person associated with the business? :
Yes: No